EMDocs

SEPTEMBER 30, 2024

5 urban academic EDs, attending charts. Primary outcome: Prescription of ICS on ED discharge from the index visit Secondary outcomes: ICS prescription rates in high-risk subgroups Rates of outpatient follow-up within 30 days of an ED visit for asthma Variation in ICS prescription rates among attending ED physicians.

Outcomes 101

Outcomes Academics Documentation/Coding Emergency Department 101

EMDocs

MAY 25, 2023

mg/kg or 10 mg Seizures must persist for at least 5 minutes after administration of the prespecified benzodiazepines. In light of these data, I will give levetiracetam due to its less severe side effects and ease of administration. mg/kg or 10 mg Intravenous lorazepam 0.1 mg/kg or 4 mg Intravenous midazolam 0.2

Seizures 81

Seizures Administration Anaphylaxis Outcomes 81

PulmCCM

JANUARY 6, 2025

With financial penalties coming for noncompliance with the new rule, hospital administrators rapidly deployed the alerts to fire on all eligible inpatients. A cluster randomized trial using all-cause mortality as an outcome was always needed to determine whether EMR alerts improve outcomes for suspected severe infection.

Sepsis 45

Sepsis Documentation/Coding Hospitals Outcomes 45

Don't Forget the Bubbles

JUNE 30, 2023

The primary outcome was 28-day mortality – TXA improved survival with no increased risk of cerebral clots. Survival was better, both at 24 hours and six months, in the TXA group, although the primary outcome, a quality of life score at six months, called the Glasgow Outcome Scale Extended (GOS-E), was the same in both groups ( 53.7%

Head Injuries 145

Head Injuries Seizures Pediatrics Outcomes 145

RebelEM

NOVEMBER 6, 2023

ug/kg/min of norepinephrine equivalent at time of hydroxocobalamin or methylene blue administration Exclusion Criteria: Administration of hydroxocobalamin or methylene blue for non-VS indications Hydroxocobalamin or methylene blue given > 48 hours after CPB Pre-intervention cardiac index < 2.0

Shock 71

Shock Administration Academics Hospitals 71

RebelEM

FEBRUARY 29, 2024

1, 2 Its occurrence often portends worse outcomes in intubated patients, whose projected hospital course was already tenuous. SECONDARY OUTCOMES At day 28 , ceftriaxone group had (vs placebo): Lower VAP risk (20% vs 36%); hazard ratio 0.62 4, 8 Paper: Dahyot-Fizelier, C.,

CDC 111

CDC Radiology Radiology Head Injuries 111

Cook County EM Blog

APRIL 27, 2022

2019.09.007 What : Retrospective cohort study of all droperidol administrations between January 2012 and April 2018 at an academic and pediatric emergency department in the US with 77,000 annual visits. Zero deaths were attributed to droperidol administration. Zero deaths were attributed to droperidol administration.

Administration 52

Administration EKG/ECG Emergency Department EMS 52

SheMD

MAY 4, 2023

80% of department chair roles in academic medicine are held by men. Article Summary What they looked at: This article aimed to look at career trajectory differences between genders in faculty who have attained academic chair roles in emergency medicine. Similar Articles For further reading on the topic, check out these articles!

Leadership 52

Leadership Academics Operations Emergency Department 52

The Skeptics' Guide to EM

SEPTEMBER 23, 2017

Academic Emergency Medicine. He is also the CME editor for Academic Emergency Medicine and the associate editor for emergency medicine simulation at the […] The post SGEM#189: Bring Me To Life in OHCA first appeared on The Skeptics Guide to Emergency Medicine. Academic Emergency Medicine. September 2017. September 2017.

CPR 52

CPR Academics Resuscitation Hospitals 52

The Skeptics' Guide to EM

AUGUST 22, 2020

He is also the CME editor for Academic Emergency Medicine. He is also the CME editor for Academic Emergency Medicine. The US Federal Drug Administration (FDA) allowed for emergency development and use of rt-PCR assays, and dozens of companies released assay kits. Reference: Carpenter et al. Reference: Carpenter et al.

Emergency Department 52

Emergency Department Academics Research Administration 52

Taming the SRU

FEBRUARY 24, 2024

Early recognition and prompt treatment is key. non-invasive positive pressure ventilation and IV nitroglycerin infusion have been shown to reduce morbidity (intubation rates, ICU admission) & mortality.

Leadership 94

Leadership EMS Pediatrics Stroke 94

RebelEM

MAY 11, 2023

3, 4 Much of the appeal of phenobarbital lies in its ability to stave off severe alcohol withdrawal symptoms days after administration, without the necessity of daily redosing. What They Did: Retrospective cohort study at a single academic medical center between July 1, 2016 to June 30, 2019. 5 Paper: Lebin J et al.

Emergency Department 89

Emergency Department Administration Hospitals Academics 89

The Skeptics' Guide to EM

JANUARY 20, 2018

She has contributed to the Academic Life in Emergency Medicine and EM PharmD blogs, […] The post SGEM#203: Let Me Clear My Sore Throat with a Corticosteroid first appeared on The Skeptics Guide to Emergency Medicine. She has contributed to the Academic Life in Emergency Medicine and EM PharmD blogs, and is a part of the ALiEM Capsules Team.

Academics 52

Academics Emergency Department EMS Administration 52

The Skeptics' Guide to EM

SEPTEMBER 11, 2021

He heads curriculum and conference for the academic year and is passionate about resident […] The post SGEM#344: We Will…We Will Cath You – But should We After An OHCA Without ST Elevations? Guest Skeptic: Dr. Stephen Meigher is the EM Chief Resident training with the Jacobi and Montefiore Emergency Medicine Residency Training Program.

EKG/ECG 52

EKG/ECG Academics EMS CPR 52

The Skeptics' Guide to EM

APRIL 29, 2023

He is also the CME editor for Academic Emergency Medicine. He is also the CME editor for Academic Emergency Medicine. Case: You are moonlighting at the Veterans Administration emergency department (ED) and are caring for an Iraq veteran complaining of post-traumatic stress disorder (PTSD) and severe anxiety.

Psychiatric 40

Psychiatric Emergency Department Urgent Care Academics 40

EMDocs

OCTOBER 30, 2023

Background and Context Contrast-enhanced computed tomography (CECT) is of paramount importance in the emergency department (ED) due to its indispensable role in facilitating precise diagnostic outcomes. Contrast Media, Iodinated, Dose, and Administration. More studies regarding the same need to be done. West J Emerg Med.

Radiology 92

Radiology Radiology Emergency Department Hospitals 92

Dr. Smith's ECG Blog

SEPTEMBER 10, 2023

Long term outcome unknown but obviously bleak. Association of intravenous morphine use and outcomes in acute coronary syndromes: Results from the CRUSADE Quality Improvement Initiative. Academic Emergency Medicine 27(S1): S220; May 2020. Setting – large, academic, suburban ED. Am Heart J. 2005;149:1043–1049. Abstract 556.

EKG/ECG 79

EKG/ECG Outcomes Academics Documentation/Coding 79

RebelEM

FEBRUARY 2, 2023

Small sample size limits the power of the study and increases margin of error A patient-oriented outcome such as mortality was not included Follow-up beyond disposition to evaluate hospitalization recurrences related to atrial fibrillation was not included. Therefore, no definitive conclusions can be made about this trial.

Emergency Department 52

Emergency Department Administration Dehydration EMS 52

The Skeptics' Guide to EM

DECEMBER 11, 2021

No statistical difference in their primary outcome for duration of time alive and free of vasopressor administration up to day 7 or the secondary outcome of 90-day mortality. no statistical difference in primary outcome of SOFA scores at 72 hours or the secondary outcome of 30-day mortality.

Sepsis 40

Sepsis Shock Outcomes Research 40

PulmCCM

OCTOBER 30, 2023

If you thought administrators had a bee in their bonnet for SEP-1 before, just wait. IDSA cites multiple large observational studies showing no improvement in sepsis outcomes at many centers after SEP-1 implementation. ICUs, and a popular research focus for academics, generating a steady stream of papers. That was the pregame.

Sepsis 52

Sepsis Shock Hospitals Infectious Diseases 52

PHEM Cast

APRIL 10, 2016

This was the same principle as in the Rivers trial: the standard care group is the ‘control’ group against which changes in outcome for the ‘intervention’ group are compared. Academic Emergency Medicine. EMS Patients and Walk-In Patients Presenting With Severe Sepsis: Differences in Management and Outcome. 2014 Oct 28;:1–9.

Sepsis 52

Sepsis Fluid Resuscitation Resuscitation Emergency Department 52

EMDocs

SEPTEMBER 25, 2023

First described in 1970, RSI with the near-simultaneous administration of a sedative agent and NMBA has been shown to have increased first-pass success compared with intubation facilitated by a sedative alone (6,7). ” Academic Emergency Medicine 20.1 Cons: Significant respiratory depression, requiring careful monitoring.

Emergency Department 84

Emergency Department Soft Tissue Injuries Airway Management Operations 84

Don't Forget the Bubbles

JANUARY 31, 2024

Academic Pediatrics 2024 24 1 51-58 What’s it about? Effective pre-hospital analgesia contributes to timely ED analgesia, and not having adequate analgesia can contribute to anxiety and poorer outcomes. Reviewed by: Dr David Metcalfe Article 4: What predicts a medical visit after a concussion? Meyer EJ, Correa ET, Monuteaux MC et al.

Hospitals 72

Hospitals Ultrasounds Emergency Department Pediatrics 72

Don't Forget the Bubbles

SEPTEMBER 5, 2024

Children with complex medical conditions are at higher risk of morbidity and mortality, and this may be compounded by inaccurate weight estimation and leading to inaccurate medication dose administration. Obesity is considered a contributing factor for some musculoskeletal outcomes. PMID: 38759251. What’s it about? Arch Dis Child.

Ultrasounds 52

Ultrasounds Research Emergency Department Outcomes 52

EM Updates

JUNE 15, 2021

Maimonides Medical Center (MMC) is Brooklyn’s largest hospital, an academic quaternary care center with, in normal times, 711 total beds, 66 intensive care beds, and an Emergency Department that treats approximately 120,000 patients per year. On March 9, the first patient with a novel coronavirus infection was admitted to MMC.

Emergency Department 52

Emergency Department Hospitals Outcomes Wellness 52

Dr. Smith's ECG Blog

NOVEMBER 26, 2018

Again, not an expected outcome with diltiazem). I limit my comments to a number of academic and semantic concepts relating to the arrhythmia in this case: What is an “SVT”? As emphasized by Dr. Meyers — administration of IV Diltiazem usually does not result in prompt conversion of AFlutter.

EKG/ECG 52

EKG/ECG Wellness Administration Academics 52

Taming the SRU

MAY 3, 2023

Ultimately, on the cusp of deterioration, the patient was deemed most appropriate for transfer to a medical intensive care unit (MICU) at a large academic hospital via helicopter emergency medical services (HEMS). A follow-up chest x-ray at that time revealed pneumomediastinum, and she was started on broad-spectrum antibiotics.

Wellness 52

Wellness Hospitals Shock Outcomes 52

ACEP Now

AUGUST 1, 2023

This is an important opportunity for board certified emergency physicians to secure those positions today, impressing upon hospital administrations the essential benefits to the patients, the medical staff, and the hospital itself uniquely enabled by board certified emergency physicians.

Emergency Department 98

Emergency Department EMS Critical Access Hospitals 98

ACEP Now

AUGUST 25, 2023

The National Heart, Lung, and Blood Institute released an expert panel report in 2014 with evidence-based guidelines for management of SCD recommending timely administration of parenteral opioids for VOE.2 Primary Outcome: Discharged home from the ED Secondary Outcomes: There were several secondary outcomes. Am J Hematol.

Administration 97

Administration Pediatrics Emergency Department Outcomes 97

RebelEM

DECEMBER 19, 2022

trying harder and longer knowing they are enrolled in this study) Use of two different models of defibrillators may negatively impact the internal validity of this pilot study Certain baseline characteristics were not balanced, such as: prehospital intubation and Epinephrine administration.

EMS 52

EMS CPR Shock Resuscitation 52

Sensible Medicine

SEPTEMBER 16, 2023

Noting that the former is a difference in outcome, and the latter is treating someone differently based solely on consideration of race. Instead, their work product merely serves to further the careers of mediocre academics, performing irreproducible, low quality and often unhelpful research. Same is true for many other interventions.

Research 134

Research Academics Outcomes Administration 134

EMDocs

NOVEMBER 13, 2023

2 Outcomes of patients presenting with ischemic stroke who received MRI as initial imaging modality have demonstrated similar outcomes to those with initial CTA, with Kim et al. demonstrating that functional outcome at 3 months did not differ between the CTA and MRI groups (38.5% vs. 38.1%) with a good functional outcome.

Stroke 103

Stroke Radiology Radiology Emergency Department 103

Dr. Smith's ECG Blog

APRIL 8, 2015

Cardiac Syncope ("True Syncope") Independent Predictors of Adverse Outcomes condensed from multiple studies 1. These premonitory symptoms were negative predictors of adverse outcomes in EGSYS. Academic Emergency Medicine., Abnormal ECG – looks for cardiac syncope. Hemoglobin less than 10 (SF rule) 6. Thiruganasambandamoorthy, V.,

Emergency Department 52

Emergency Department EKG/ECG Outcomes Seizures 52

Taming the SRU

JUNE 12, 2023

There are multiple factors to consider when managing dog and mammalian bites in the ED, including closure, prophylactic antibiotic administration, and rabies post-exposure prophylaxis. The gluteus should never be used because observations suggest administration in this area results in lower neutralizing antibody titers. 2007;14(5).

Infectious Diseases 103

Infectious Diseases Emergency Department Administration Academics 103

Taming the SRU

OCTOBER 31, 2024

Ann Emerg Med 2024; Study Design Validation of the qPS4 was performed as part of a retrospective cohort study of pediatric patients presenting to a tertiary academic emergency department between the ~9 year study period (01/01/2012 - 12/31/2021). The primary outcome (development of septic shock) was present in 0.3% of patients.

Sepsis 72

Sepsis Shock Pediatrics Administration 72

Don't Forget the Bubbles

OCTOBER 4, 2023

In the same journal , we learned that in fetuses with transposition of great arteries (TGA), a better prenatal diagnosis led to poorer early postoperative outcomes. A Randomized Controlled Trial of a NICU Language Intervention for Parents of Preterm Infants and Two-Year Language Outcomes. As always, more research seems needed.

Pediatrics 111

Pediatrics Fractures Outcomes Research 111

Dr. Smith's ECG Blog

MARCH 14, 2025

The first ECG, taken after NTG administration and during pain relief, shows signs consistent with re-perfused lateral and posterior OMI. Here is evidence for this: Opiates are associated with worse outcomes in Myocardial Infarction. Academic Emergency Medicine 27(S1): S220; May 2020. ECG #2 repeat in the ED. Am Heart J.

EKG/ECG 96

EKG/ECG EMS Outcomes Academics 96